Basic Information
| Provider Information | |||||||||
| NPI: | 1285638023 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PLUMMER | ||||||||
| FirstName: | RITCHIE | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11528 US HIGHWAY 19 | ||||||||
| Address2: | |||||||||
| City: | PORT RICHEY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346681442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278682151 | ||||||||
| FaxNumber: | 7278198362 | ||||||||
| Practice Location | |||||||||
| Address1: | 9238 US HIGHWAY 19 | ||||||||
| Address2: | |||||||||
| City: | PORT RICHEY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346684853 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278498491 | ||||||||
| FaxNumber: | 7278493483 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2005 | ||||||||
| LastUpdateDate: | 11/30/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS0004175 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01384 | 01 | FL | UNIVERSAL HEALTH CARE | OTHER | 080064833 | 01 | FL | RAILROAD MEDICARE | OTHER | 2171716 | 01 | FL | AETNA HMO | OTHER | 11151601 | 01 | FL | CITRUS GCMC I | OTHER | 5251125 | 01 | FL | AETNA PPO | OTHER | 01-05050 | 01 | FL | UNITED HEALTH CARE | OTHER | 11151602 | 01 | FL | CITRUS GCMCII | OTHER | 82334 | 01 | FL | BLUE CROSS BLUE SHIELD FLORIDA | OTHER | 6100076 | 01 | FL | GHI | OTHER | 039416500 | 05 | FL | MEDICAID | 245831 | 01 | FL | AVMED | OTHER |